A client with ESRD reports experiencing severe muscle cramps and twitching. Which nursing intervention is appropriate to address this symptom?

Administering a bolus of intravenous (IV) fluid to increase urine output

Encouraging the client to engage in vigorous physical exercise

Providing prescribed phosphate-binding medications as scheduled

Restricting the client's dietary protein intake to minimal levels

Answer and Explanation

The Correct Answer is C

A. This is incorrect. Administering a bolus of IV fluid may worsen fluid overload and electrolyte imbalances in the client with ESRD. It is not an appropriate intervention for muscle cramps and twitching.

B. This is incorrect. Vigorous physical exercise may exacerbate muscle cramps and twitching in clients with ESRD. Encouraging moderate physical activity is more appropriate.

C. This is correct. Muscle cramps and twitching in clients with ESRD are often associated with elevated phosphate levels in the blood. Phosphate-binding medications can help reduce phosphate levels and alleviate these symptoms.

D. This is incorrect. While dietary protein intake may need to be adjusted for clients with ESRD, restricting protein intake to minimal levels can lead to malnutrition and other complications. It is not an appropriate intervention for muscle cramps and twitching.

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Correct Answer is C

Explanation

A. This is incorrect. Increasing the dialysis flow rate can exacerbate the client's symptoms and lead to further complications, such as hypotension and cramping.

B. This is not the most appropriate action to address the client's current symptoms of nausea and vomiting during the procedure. Assessing weight gain between dialysis sessions is essential for overall fluid management but may not directly address the acute symptoms.

C. This is correct. Administering an antiemetic medication can help alleviate nausea and vomiting during the dialysis procedure. Antiemetics can prevent or reduce these symptoms, making the dialysis session more tolerable for the client.

D. This is incorrect. Increasing fluid intake during dialysis may not be appropriate, as the goal of hemodialysis is to remove excess fluids from the body. Encouraging increased fluid intake could lead to fluid overload and worsen the client's symptoms.

A. "Renal transplantation is a temporary treatment, and you may need another transplant in a few years." B. "Renal transplantation eliminates the need for lifelong immunosuppressive medications." C. "Renal transplantation provides immediate relief from symptoms and restores normal kidney function." D. "Renal transplantation is only suitable for clients with a genetic predisposition to kidney diseases."

Correct Answer is C

Explanation

A. This statement is incorrect. Renal transplantation is not always temporary; it can provide long-term relief and improve the client's quality of life.

B. This statement is incorrect. While renal transplantation is beneficial, recipients will need to take lifelong immunosuppressive medications to prevent organ rejection.

C. This statement is correct. Renal transplantation is a treatment that can provide immediate relief from the symptoms of ESRD and restore normal kidney function, allowing the client to lead a more normal life.

D. This statement is incorrect. Renal transplantation is not limited to clients with a specific genetic predisposition; it is a treatment option considered for any eligible client with ESRD.

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A client with ESRD reports experiencing severe muscle cramps and twitching. Which nursing intervention is appropriate to address this symptom?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with ESRD undergoing hemodialysis complains of nausea and vomiting during the procedure. The nurse should take which action to address this symptom?

Correct Answer is C

Explanation

A client with end-stage renal disease (ESRD. is considering renal transplantation as a treatment option. The client asks the nurse about the advantages of this procedure. Which response by the nurse is accurate?

Correct Answer is C

Explanation

A client with ESRD is receiving hemodialysis as part of their treatment plan. The nurse educates the client about potential complications during dialysis. Which information should the nurse include in the education?

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A nurse is caring for a client with ESRD and notices that the client is experiencing fatigue and weakness. Which assessment finding should the nurse prioritize for this client?

A client with ESRD is prescribed erythropoietin-stimulating agents (ES to manage anemia. The nurse educates the client about ESA therapy. Which statement by the client indicates a need for further teaching?

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A nurse is providing discharge education to a client with ESRD who will require ongoing dialysis treatments. The client expresses concern about how they will manage their condition at home. What should the nurse include in the discharge teaching to promote effective self-care?

A client with ESRD asks the nurse about treatment options. Which statement by the nurse is accurate?